Abstract: A guide member positioned through a coronary vessel and the wall of the heart provides access to a heart chamber. A first end of the guide member is passed through the coronary vessel and the heart wall into the heart chamber, and then is passed back out of the heart chamber. The end of the guide member may then be used to deliver devices into the heart chamber to carry out various medical procedures. A conduit delivery system is coupled to the end of the guide member and is delivered into the heart chamber and then used to place a conduit in the heart wall to communicate the coronary vessel with the heart chamber.

Abstract: Devices and methods for delivering conduits into the wall of a patient's heart to communicate a coronary vessel with a heart chamber. The devices are passed through the coronary vessel and the heart wall to place the conduit and establish a blood flow path between the vessel and the heart chamber. Additional devices and methods are provided for removing tissue from a coronary vessel or the heart wall to establish a flow path between the coronary vessel in communication with the heart chamber.